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| 1 | Perceived risk as a barrier to appropriate diagnosis of irritable bowel syndrome显示文摘AIM:To evaluate perceived risk,diagnostic testing,and acceptance of a diagnosis of irritable bowel syndrome(IBS)among the Korean laypersons.METHODS:We designed a conceptual framework to evaluate the health-seeking behavior of subjects based on a knowledge,attitude,and practice model.We developed a vignette-based questionnaire about IBS based on a literature review and focused group interviews.The vignette described a 40-year-old woman who meets the RomeⅢcriteria for IBS without red-flag signs.It was followed by questions about demographic characteristics,health behaviors,IBS symptoms,risk perception,perceived need for diagnostic tests,and acceptance of a positive diagnosis of IBS.Weplanned a nationwide survey targeting laypersons without IBS and between the ages of 20 and 69 years.Survey participants were selected by quota sampling stratified by gender,age,and nationwide location.A multivariate logistic model was constructed based on literature reviews,univariate analysis,and a stepwise selection method to investigate correlations between the perceived risk,need for diagnostic tests,and acceptance of a positive diagnosis.RESULTS:Of 2354 eligible households,1000 subjects completed the survey and 983 subjects were analyzed,excluding those who met symptom criteria for IBS.After reading the IBS vignette,the majority of subjects(86.8%)responded that the patient was at increased risk of severe disease.The most frequent concern was colon cancer(59.8%),followed by surgical condition(51.5%).Most subjects responded the patient needs diagnostic tests(97.2%).Colonoscopy was the most commonly required test(79.5%).Less than half of the respondents requested a stool examination(45.0%),blood test(40.7%),abdominal ultrasound(36.0%),or computed tomography(20.2%).The subjects who felt increased risk were more likely to see a need for colonoscopy[adjusted odds ratio(a OR)=2.10,95%CI:1.38-3.18].When asked about the positive diagnosis,the most frequent response was that'the patient would not be reassured'(65.7%).The increased risk perception group was less likely to be reassured by a positive diagnosis of IBS,compared to the other respondents(a OR=0.52,95%CI:0.34-0.78).CONCLUSION:For IBS diagnosis,increased risk perception is a possible barrier to the appropriate use of diagnostic tests and to the patient’s acceptance of a positive diagnosis. | Eunmi Ahn Ki Young Son Dong Wook Shin Min Kyu Han Hyejin Lee Ah Reum An Eun Ho Kim Be Long Cho | 2014 | World Journal of Gastroenterology2014，20，48： | 2 |
| 2 | Antioxidant and antimicrobial activities of leafy green vegetable extracts and their applications to meat product preservation显示文摘 | Sung-Jin Kim Ah Reum Cho Jaejoon Han | 2013 | Food Control2013，，1： | 2 |
| 3 | Antioxidant and antimic robial activities of various leafy herbal teas显示文摘 | Jungmin Oh Heonjoo Jo Ah Reum Cho | | 0，，31： | 1 |
| 4 | The flare echo: Reflectivity and velocity signature显示文摘 | WILSON J W REUM D | 1988 | Journal of atmospheric and Oceanic Technology1988，5，： | 1 |
| 5 | Seasonal variation inguild structure of the Puget Sound demersal fishcommunity显示文摘 | Reum J C P Essington T E | 2008 | Estuaries and Coasts2008，31，4： | 1 |
| 6 | Muhilayer coat- ing of gold nanoparticles with drag-polymer coadsorbates 显示文摘 | REUM N FINK-STRAUBE C KLEIN T | 2010 | Langmuir2010，26，16： | 1 |
| 7 | Comparison by micredialysis of striatal L-DOPA after its systemic administration in rats with probes implanted acutely or through a guide cannula显示文摘 | Marburger A Sohr R Reum T | 2000 | J Neuroseie Methods2000，102，2： | 1 |
| 8 | Comparison by microdialysis of striatal L-DOPA after its systemic administration in rats with probes implanted acutely or through a guide cannula 显示文摘 | MARBURGER A SOHR R REUM T | 2000 | J Neuroscie Methods2000，102，2： | 1 |
| 9 | Wavelet based multi-spectral image analysis of maize leaf chlorophyll content显示文摘 | D. Reum Q. Zhang | 2007 | Computers and Electronics in Agriculture2007，，1： | 1 |
| 10 | The flare echo:Reflectivity and velocity signature显示文摘 | Wilson J w Reum D | | 0，，： | 1 |
| 11 | Resting-state regional homogeneity as a biological marker for patients with Internet gaming disorder: A comparison with patients with alcohol use disorder and healthy controls显示文摘 | Heejung Kim Yu Kyeong Kim Ah Reum Gwak Jae-A Lim Jun-Young Lee Hee Yeon Jung Bo Kyung Sohn Sam-Wook Choi Dai Jin Kim Jung-Seok Choi | 2015 | Progress in Neuropsychopharmacology & Biological2015，，： | 1 |
| 12 | High frequency stimulation of the subthalamic nucleus in influences striatal do paminergic metabolism in native rats显示文摘 | Meissner W Marburger A | 2000 | NeuroReport2000，11，： | 1 |
| 13 | Antioxidant and antimicrobial activities of various leafy herbal teas显示文摘 | Jungmin Oh Heonjoo Jo Ah Reum Cho Sung-Jin Kim Jaejoon Han | 2013 | Food Control2013，，2： | 1 |
| 14 | The flare echo: Reflectivity and velocity signature显示文摘 | Wilson J B Reum D | 1988 | Journal of Atmospheric and Oce- anicTechnology1988，5，： | 1 |
| 15 | High frequency stimulation of the subthalamic nucleus influences sriatal dopaminergic metabolism in native rats 显示文摘 | Reum P G Meissner W Marburger A | 2000 | Neuro Report2000，11，： | 1 |
| 16 | Drying of aerogel-bonded sands显示文摘 | ReuM Ratke L | 2010 | Journal of Materials Science2010，45，10： | 1 |
| 17 | Hypericin and pseudohypericin: pharmacokinetics and effects on photosensitivity in humans显示文摘 | Reum T Bauer S | 1997 | Pharmacopsychiatry1997，30，2： | 1 |
| 18 | Study of Critical Sections in Catenary Systems during Multiple Pantograph Operation 显示文摘 | HARELL P DRUGGE L REUM M | 2005 | Proceedings of the Institution of Mechanical Engineers2005，219，4： | 1 |
| 19 | Long-type double-balloon enteroscopy-assisted ERCP using hand-made accessories in Roux-en-Y hepaticojejunostomy(with video)显示文摘To the Editor:Short-type balloon enteroscope-assisted endoscopic retrograde cholangiopancreatography(BE-ERCP)is becoming the procedure of choice for biliopancreatic disease treatment in patients with postoperative anatomy^([1,2]).However,it has not yet been available in many countries.Although a long-type balloon enteroscope with a200-cm working length has been widely used for small bowel endoscopy,its use for ERCP was limited by the lack of commercially available extra-long accessories^([3]). | Min Jae Yang Ah Reum Kim Jae Chul Hwang Byung Moo Yoo Jin Hong Kim | 2021 | Hepatobiliary & Pancreatic Diseases International2021，20，4： | 1 |
| 20 | The flare echo:Reflectivity and velocity signature显示文摘 | Wilson J W D Reum | 1988 | J Atmos Oceanic Technol1988，5，： | 1 |
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